Stage I Uterine cancer - Gynecology

What is Stage I Uterine Cancer?

Stage I uterine cancer, also known as endometrial cancer, is the earliest stage of uterine cancer. At this stage, the cancer is confined to the uterus and has not spread to other parts of the body. This stage is further divided into IA and IB based on the extent of invasion into the uterine muscle.

Symptoms

Common symptoms of stage I uterine cancer include abnormal vaginal bleeding, which may occur between periods or postmenopausally. Other symptoms can include pelvic pain, pain during intercourse, and abnormal vaginal discharge. Early detection is often due to these noticeable symptoms.

Diagnosis

Diagnosis of stage I uterine cancer typically involves a combination of pelvic examination, transvaginal ultrasound, and a biopsy. A dilation and curettage (D&C) procedure may also be performed to obtain a larger tissue sample for histopathological examination.

Treatment Options

Treatment for stage I uterine cancer often involves surgery, specifically a hysterectomy, which is the removal of the uterus. In some cases, the ovaries and fallopian tubes are also removed (bilateral salpingo-oophorectomy). Depending on the patient's health and specific cancer characteristics, additional treatments such as radiation therapy or hormone therapy may be considered.

Prognosis

The prognosis for stage I uterine cancer is generally very good. The five-year survival rate for women diagnosed with stage I uterine cancer is high, often exceeding 90%. Early detection and treatment are key factors in the favorable prognosis.

Risk Factors

Several risk factors can increase the likelihood of developing uterine cancer. These include obesity, a history of polycystic ovary syndrome (PCOS), use of estrogen without progesterone, late menopause, and certain genetic conditions such as Lynch syndrome. Managing these risk factors can help in prevention and early detection.

Follow-Up Care

After treatment, regular follow-up care is essential to monitor for any signs of recurrence. Follow-up typically includes pelvic exams, imaging tests, and blood tests. Patients are advised to report any new symptoms to their healthcare provider promptly.

Emotional Support

Dealing with a cancer diagnosis can be emotionally challenging. Support from support groups, counseling, and talking to family and friends can be beneficial. Healthcare providers can also offer resources and referrals to help patients cope with the emotional aspects of their diagnosis and treatment.



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